| NPI | 1265091144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1015187) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT019275) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-07-17 |